These Performance in Practice Clinical Module Units will fulfill the American Board of Psychiatry and Neurology (ABPN) Part 4 Performance in Practice (PIP) requirement for Maintenance of Certification (MOC), mandating that diplomates complete quality improvement programs designed to improve practice over the 10-year MOC cycle. For an explanation of ABPN MOC requirements, please access the ABPN MOC Program FAQ, visit the ABPN website, or call the ABPN offices at their number (847) 229-6500.
The American Board of Psychiatry and Neurology has reviewed these PIPs, which also award 8 Category-1 Self Assessment CME Credits and has approved them as part of a comprehensive Self-Assessment Program (Part 2) which is mandated by the ABMS as a necessary component of Maintenance of Certification.
These PIPs include 1) introductory reading material on the topics; 2) information about the MOC process; 3) a set of multiple-choice pre- and post- test questions with potential responses; 4) instructions on performing a chart audit; (learn more about chart audits by clicking here); a form to document and compare your performance to general standards in the field of Addiction Psychiatry; 5) instructions on how to assess your current practice; 6) resources for creating and implementing an improvement program; and 7) an opportunity to receive additional education resources including the use of social media platforms to aid you along the way. In addition, you will find forms to complete an ABPN approved Peer and Patient feedback module are also included in this activity for your convenience should you decide to do both projects concurrently. During the evaluation stage of completing the PIP, you will be able to compare your performance pre- and post-intervention to assess what changes have occurred in your practice.
A key theme in the development of these PIPs is Patient-Centered Care and Outcomes “helping patients and their caregivers communicate more effectively and make more informed health care decisions, allowing their voices to be heard in assessing the value of their health care options” (www.ahrq.gov). Thus, considering patient priorities in weighing treatment options is essential to treatment success and recovery. The patient should learn about both the efficacy and side effects of recommending medications and how they may apply to them so that they can make an individualized informed decision.
Consideration of patient values is an integral part of evidence based medicine and must be included along with the best research evidence and clinical expertise to deliver effective health care1.
Overall Objective of these PIPs
The overall objective of these PIPs is guide you through the process to be more effective agents in helping patients change their tobacco use and alcohol use with several evidence based steps based on clinical quality measures. Once these steps are put into practice as an every day clinical function, it is expected that you will have achieved performance change in your practice setting. The clinical quality measures of the PIPs are provided once you begin them. These PIPs will walk you through Three Stages (A, B, and C) in a Performance Improvement process to improve your knowledge for prescribing pharmacotherapies.
Stage A: Baseline Self-Assessment and Data Collection: Assess your current knowledge, your own practice behaviors and the perception of patients of peers.
Step 1 You will take a pre-test on knowledge and/or practices related to smoking cessation or alcohol use disorders.
Step 2 You will pull 5 patient charts, assess your performance via chart audit using clinical measures. You will audit these charts, looking for fulfillment and documentation of the clinical measures posed in this activity and enter non-identifying patient data and responses to questions. AAAP will provide performance measures and best practices as links.
Step 3 ABPN Peer and Patient Feedback Module documents are supplied to you as downloads, fulfilling ABPN’s NEW requirement to complete either a Clinical or a Feedback module in one PIP unit (you no longer have to do both!).
At this Stage, AAAP will collect information about your satisfaction with the option to download forms, if this helped participants to fulfill the PIP Unit requirements, if it assisted in the facilitation of conversation with peers or patients, and overall if the information collected assisted in practice and performance improvements.
Step 1 You will identify areas in need of improvement and construct an effective performance improvement plan for change. Having reviewed your chart audit data, you will identify at least one clinical measure to improve while accessing PIP tools to support and sustain their changes.
Step 2 During this step, you will select which social media platforms will be useful to you to stay on target with PIP implementation objectives using innovative techniques and exchanges.
Step 1 You will reassess performance via chart audit by again selecting 5 patient charts for reassessment and entering non-identifying data as before.
Step 2 You will retake the pre-test to determine what may have changed as a result of participating in this performance improvement process. You will be provided with your pre- and post- test results to compare their progress pre- and post- intervention.
Step 3 Your performance results are shared (pre-test; post-test and a summary of overall improvement assessment)
Step 4 You are asked to evaluate the PIP product.
1Sackett DL, Strauss SE, Richardson WS, et al. “Evidence-based medicine: How to practice and teach EBM.” Second edition. London: Churchill Livingstone; 2000
Release Date of Smoking PIP: September 1, 2014 Expiration Date: April 1, 2017
Release Date of Alcohol PIP: January 1, 2015 Expiration Date: January 1, 2018
Medium or combination of media used and Hardware/Software Requirements
The system requirements for participation via the internet include:
For PC-based participants:
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